G & D Residential Services, Llc
LBN: G & D Residential Services, Llc
G & D Residential Services, Llc is an health care organization with primary practice located at 1208 Sloan St , Greensboro NC 27401-3442. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
G & D Residential Services, Llc can be contacted via phone (336) 254-6770, or through Martin, Geovon Kenane via phone (336) 254-6770.
Contact Information
Primary practice address
1208 Sloan St
Greensboro NC 27401-3442
Phone: (336) 254-6770
Fax: (336) 272-8083
Website:
Authorized official contact:
Name: Martin, Geovon Kenane Bachelor of Arts (BA)
Phone: (336) 254-6770
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-041-764 | North Carolina |
Profile Details
| NPI number | 1912103664 |
|---|---|
| LBN Legal business name | G & D Residential Services, Llc |
| DBA Doing business as | |
| Authorized official | Martin, Geovon Kenane Bachelor of Arts (BA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jun 30th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912103664 | NPPES |
| North Carolina | MEDICAID | 8300792G |
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